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MED-SURGII
N ursing Care of Patients with Upper Gastrointestinal Disorders
| Question | Answer |
|---|---|
| Protective function to rid the body of harmful substances from the gastrointestinal tract | Vomitting |
| Used with antiemetic medications may help ease nausea | Ginger |
| Compulsive eating with self-induced vomiting, which is commonly known as binge-purge | Bulimia nervosa |
| Common side effect of restrictive surgery | Vomitting |
| An artificial saliva substitute | OralBalance gel, Salivart solution, or Salix lozenges |
| Nystatin as an oral rinse treats this infection. | Candida albicans |
| Is often performed since this type of cancer frequently has metastasized to cervical lymph nodes by the time it is diagnosed | Radical or modified neck dissection |
| Is usually detected late because of its location near many lymph nodes that allow it to metastasize. | Esophageal cancer |
| Used to determine whether the cancer has spread to the lymph nodes and surrounding structures. | Mediastinoscopy |
| A condition in which the lower part of the esophagus and stomach slides up through the hiatus of the diaphragm into the thorax | Hiatal hernia |
| The most common type in which the stomach slides up into the thoracic cavity when a patient is supine and then usually goes back into the abdominal cavity when the patient stands upright. | Sliding hiatal hernia |
| The stomach fundus is wrapped around the lower part of the esophagus, is the most common surgical procedure performed | Fundoplication |
| Is caused primarily by conditions that affect the ability of the lower esophageal sphincter to close tightly, such as hiatal hernia. | Gastroesophogeal reflux disease |
| Diagnostic tests include a barium swallow, esophagoscopy, or pH monitoring of the normally alkaline esophagus | GERD |
| A precancerous lesion that puts the patient at risk of developing esophageal cancer | Barrett's esophagus |
| Uses an endoscope to tighten the lower esophageal sphincter, which aids in improving or eliminating gastroesophageal reflux with good success | Esophy X |
| Is a longitudinal tear in the mucous membrane of the esophagus at the stomach junction (gastric cardia). | Mallory-Weiss tear |
| Can be diagnosed with an esophagogastroduode-noscopy (EGD) | Mallory-Weiss tear |
| Lab test for Mallory-Weiss tear | HCT and HGB |
| Are dilated blood vessels in the esophagus. Their rupture can precipitate a lifethreatening event. | Esophageal varices |
| Is inflammation of the stomach mucosa and can be acute or chronic | Gastritis |
| A condition in which the lining of the stomach, pylorus, duodenum, or the esophagus is eroded, usually from infection with H. pylori. | Peptic ulcer disease |
Created by:
nurselady
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